Retrospective study of cecocolic intussusception (cecal inversion) in nine horses (1982-1998).

摘要

Caecocolic intussusception (CCI) was diagnosed in 9 of 748 horses in which exploratory celiotomy was undertaken for abdominal pain between January 1982 and April 1998. Most affected horses (78%) were <4 years of age (median age, 12 months; range, 5months to 15 years). Caecocolic intussusception affected male horses (78%) more commonly than female horses. The commonest clinical presentation was abdominal pain of a severe, acute nature or milder but recurrent signs of abdominal pain persisting in spite of conservative treatment for several days. Correction of CCI by either simple reduction or reduction followed by partial typhlectomy was successful if compromise of the intestine by devitalization and adhesion formation was not found at surgery. Definitive diagnosis of CCI required exploratory celiotomy, although an ultrasonographic examination of the abdomen confirmed the diagnosis in some cases. Of 8 horses which underwent surgery, 5 horses (63%) survived.